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General NPI Number Information
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NPI Number | 1225547417
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Entity Type | Individual
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Provider Name | ALEJANDRA PATINO PA
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Gender | Female
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 8950 N KENDALL DR # 504W
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City | MIAMI
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State | FL
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Zip | 33176-2144
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Country | US
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Telephone | 305-274-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 5543 NW 112TH PL
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City | DORAL
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State | FL
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Zip | 33178-3831
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3032
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9110690
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License Number State | FL
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